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Volusia County Gun and Hunt Club Mandatory Waiver

AGREEMENT, WAIVER OF LIABILITY, RELEASE, INDEMNIFICATION, AND COVENANT NOT TO SUE

 

By signing below I acknowledge that as a Volusia County Gun & Hunt Club (VCGHC) member, or the guest of a member, I have read and understand the VCGHC Range Rules and Operating Procedures as instructed by the member. If I am participating in a scheduled competitive event I understand that I am a guest of the Match Director and am required to have made myself aware of all Range Rules and Operational Procedures. I understand that the VCGHC reserves to right to discontinue all shooting activities for violating the Range Rules and Operating Procedures or any acts of unsafe behavior on my part as determined by a VCGHC Range Safety Officer (RSO) or Match Director. A daily fee of $15.00 per guest will apply.


I AGREE TO ASSUME THE RISKS incidental to such participation and, on my own behalf, on behalf of my executors and administrators, I RELEASE, INDEMNIFY, HOLD HARMLESS, COVENANT NOT TO SUE, AND FOREVER DISCHARGE the Released Parties defined below, of and from all liabilities, claims, actions, suits, damages, costs or expenses of any nature arising out of or any way connected with my participation in any such Activity and/or my failure to wear eye or ear protection during any such Activity. The Released Parties are the VCGHC, its members, shareholders, officers, directors, employees, range safety officers, authorized firearms instructors, contractors, volunteers, representatives, attorneys, insurers, successors, and assigns.


I expressly agree that this Agreement is intended to be as broad and exclusive as permitted by law and that if any provision of this agreement is held illegal, invalid or otherwise enforceable, the enforceability of the remaining provisions shall not be impaired thereby, and such invalid part, term or provision shall not be deemed part of this Agreement. I further agree that any ambiguities in this agreement shall not be construed in favor of or against any party by virtue of that party having drafted the Agreement. No remedy conferred by any specific provisions of this Agreement is intended to be exclusive of any other remedy, and each and every remedy shall be cumulative and shall be in addition to every other remedy now or hereafter existing at law or in equity or by statute or otherwise. The election of any one or more remedy hereafter shall not constitute any waiver of the right to pursue other available remedies.
This Agreement shall be governed by the laws of the State of Florida, and any legal action arising out of my participation in any Activity, or any litigation relating to the enforcement of this Agreement shall be commenced exclusively in either the Circuit Court of the Seventh Judicial Circuit in and for Volusia County, FL, or the County Court in and for Volusia County, FL, as appropriate.

I UNDERSTAND THAT ENGAGING IN FIREARMS SHOOTING ACIVITIES CONSTITUTES MY INVOLVEMENT IN A VERY HAZARDOUS AND DANGEROUS ACTIVITY WITH ACCOMPANING RISKS OF PERSONAL INJURY OR DEATH AND LOSS OR DAMAGE TO PERSONAL PROPERT, AND I HEREBY VOLUNTARY ASSUME THOSE RISKS.

“NOTICE: THIS WAIVER MUST BE EXECUTED BY ALL GUESTS OF PRINCIPAL MEMBERS OVER 18 YEARS OF AGE. ALL MINOR FAMILY MEMBERS OF PRINCIPALS OR GUESTS UNDER 18 YEARS OF AGE MUST HAVE ONLY THEIR PARENT OR LEGAL GUARDIAN EXECUTE THIS WAIVER ON THE BEHALF OF SAID MINOR. “

This instrument shall remain in force and effect indefinitely. I have read and understand the foregoing provisions, Waiver of Liability, Release, Indemnification, and Covenant Not to Sue and I have executed this instrument voluntary on this date.


 

First participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
First participants, members, or guests Date of Birth*
First participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
First participants, members, or guests Signature*
Second participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Second participants, members, or guests Date of Birth*
Second participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Second participants, members, or guests Signature*
Third participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Third participants, members, or guests Date of Birth*
Third participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Third participants, members, or guests Signature*
Fourth participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Fourth participants, members, or guests Date of Birth*
Fourth participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Fourth participants, members, or guests Signature*
Fifth participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Fifth participants, members, or guests Date of Birth*
Fifth participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Fifth participants, members, or guests Signature*
Sixth participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Sixth participants, members, or guests Date of Birth*
Sixth participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Sixth participants, members, or guests Signature*
Seventh participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Seventh participants, members, or guests Date of Birth*
Seventh participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Seventh participants, members, or guests Signature*
Eighth participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Eighth participants, members, or guests Date of Birth*
Eighth participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Eighth participants, members, or guests Signature*
Ninth participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Ninth participants, members, or guests Date of Birth*
Ninth participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Ninth participants, members, or guests Signature*
Tenth participants, members, or guests Name

First Name*

Middle Name

Last Name*

Phone*
Tenth participants, members, or guests Date of Birth*
Tenth participants, members, or guests I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Tenth participants, members, or guests Signature*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's I am legally allowed to posses a firearm
Click to customize question*
No
Yes
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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